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Life in the Fast Lane

Dr Mike Cadogan
MA(Oxon) MB ChB (Edin) FACEM
Emergency physician with a passion for medical informatics and medical education. I work as an emergency medicine consultant at Sir Charles Gairdner Hospital in Western Australia.

Dr Chris Nickson
BSc(Hons) MB ChB DipPaeds DTMH GCertClinTox
Registrar training in emergency medicine (ACEM) and intensive care (JFICM) while working at Sir Charles Gairdner Hospital, Perth, Western Australia.

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SurgeXperiences is a fortnightly blog carnival bringing together posts from the best and brightest of the surgical blogosphere.

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  Prompted by a series of tweets and buzzes pertaining to the knowledge base of Emergency Medicine bloggers we felt it was time to overhaul our ‘BlogRoll‘ and create a separate table for the Emergency bloggers, their twitter handles and RSS feeds.

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The writing team at Life in the Fast Lane are humbled to have won an award for the second year in a row - this year the Best Clinical Weblog of 2009. Hopefully we will soon be recognised as a blog by Google and the clinical educational can be extended to a wider audience.

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How do experienced clinicians see beyond the superficial and understand the trouble brewing behind the scenes, seemingly before there is any warning? Where does such an unearthly prescience of what is about to happen come from? How is it that one sees what another doesn’t?

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Sternoclavicular dislocation is a relatively uncommon injury that can be easily missed or misdiagnosed. The importance in determining the direction of dislocation is emphasised by the dichotomy of management. Hence, a thorough history and examination, especially looking for evidence of compression of retrosternal structures, is paramount. Specialised sternoclavicular X-ray views should be supplemented by CT/MRI if clinical suspicion is high. Posterior dislocations necessitate prompt orthopedic referral.

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I have just registered and completed a fantastic educational initiative on Tuberculosis (TB) - TB Learning Zone - produced by Oxford Immunotec. Registration is free and it takes about 90 minutes to complete the training in the Learning Zone.

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A 26 year-old male, with no previous history of seizures, was BIBA in status epilepticus. He was intubated for seizure management with propofol and clonazepam infusions.

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I read Richard Lehman’s roundup of the major medical journals nearly every week on doc2doc. He provides the perspective of a wise yet whimsical generalist who’s been ‘around a while’. One of the papers he reviewed in his January 4th edition was the recently published overview of the Australian swine flu pandemic:

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Elbow dislocations constitute 10% to 25% of all injuries to the elbow. The elbow is one of the most commonly dislocated joints in the body, with an average annual incidence of acute dislocation of 6 per 100,000 persons. Among injuries to the upper extremity, dislocation of the elbow is second only to dislocation of the shoulder.

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Griffith University is undertaking a nationwide survey in an attempt to explore Australian general practitioners’ World Wide Web, Internet and Social Media / Web 2.0 usage to deliver health care in the...

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